unicorn

The only time I send someone to the ER is when they need something done there that I can't do myself (such as immediate labs, Chest X-ray, etc.). When patients go to the ER themselves, they almost always seem to end up with a CT scan and get sent home on a Z-pak. Documented are crazy exams which they never actually do (i.e. a person comes in complaining of ear pain, and an abdominal and neurological exam are documented, but not an ear exam), and differentials written by computers which are both ridiculous and never really explored (like, no, elephantiasis is not in the differential of that 80 year-old who came in with swollen feet, and if you really considered a DVT or PE, why didn't you even order a D-dimer??). When I ask patients "Did he actually check your reflexes when you came in for an earache?", they usually say no even when the exam is documented. And why order a strep test in the dude with a sore throat and a cough who clearly has a simple cold, if you're going to ignore the negative strep test and send the patient home with a Z-pack anyway?

There are three hospitals within easy driving distance from my office. Some are better than others, but I often roll my eyes regardless of which ER it is. Similarly in other places I've worked with other hospitals. Skilled ER doctors are few and far between. ER medicine attracts physicians who lack commitment. That's the nature of the specialty. FWIW, most of my colleagues are of the same opinion. We talk about this often. Emergency medicine is a specialty in which nothing is really done other than passing the problem to someone else--for the most part.

Is an assisted living facility an option for you?

There is far too little information in your posting to be able to advise you regarding home health. ER physicians are usually the bottom of the barrel within the physician community (for the most part), and I take little stock in what they say. Their job is mainly just figuring out which doctor can actually take care of the patient's problem (and they don't always even get that right). Your primary care physician is in the best position to determine whether you'll benefit from home health care. If you can't make it to your physician's office, then a home visiting RN would probably be appropriate.

Did it reveal that RH has a good 6th sense?

OK. Someone's going to have to explain this one to me....

A fuck-load of money....

For those of us who don't know, what are the false allegations? Are you referring to "In recent years, he was a globe-trotter, running an Internet-based travel agency for gay men seeking sexual encounters with underaged boys, with headquarters in Amsterdam."? All of this is completely new news to me. I've always wondered about all of this stuff. Also, would someone be so kind as to provide the link which describes how Daddy inherited the site?

Michael Jones was Hooboy?

Were Daddy and Hooboy romantic partners?

An IP address isn't difficult to change. Just call your ISP and ask them to give you a new one. I was once banned from the "Bidding for Travel" website because the bitch running it was pissed of that I had mentioned in one of my postings that both I and the person traveling with me had bid separately (i.e. he bid after I ran out of bids) on Priceline. There was nothing in Priceline's TOS which states you couldn't do that. I'm sorry if she always travels alone and can't do it herself because she doesn't travel with anyone else. I merely pointed out in one of my postings that there's no reason each person traveling can't do his own bidding. That had me banned for life. So I simply changed my IP address and now I use that site but don't contribute. And when I travel, upon leaving I use the hotel's website to prevent any future guest at that hotel from using that website. Less business for them. Being a bitch (especially a stupid bitch) isn't good for business. There's a franchise owner for a Subway near where I work who keeps getting snide with his customers, then wonders why he doesn't have a lot of customers. I don't see how he stays in business, other than people passing through who don't know what a piece of work he is. He has to work there from opening to closing 7 days a week because he can't afford to hire people to take his place. I saw him chew out a customer who asked him if the bread was fresh. Maybe a stupid question, but all he had to do was say yes. "You got a bad attitude," said the customer; I doubt he'll ever come back. I'm not sure why it's more important for Daddy et. al. to show how right they are than to be nice to people. As the song "Master of the House" song from Les Miserables goes, "Doesn't cost you nothing to be nice." https://youtu.be/7k6uqhKEAOM

I've never quite understood why the other place keeps having such heavy traffic compared to this site. I'm pretty sure it's just because they started first. No denying that any photos I post will get a lot more views in the other place, but I've gotten tired of dealing with their unpredictable moderators. I once posted a photo in which a woman's vulva was apparent. There was nothing in their posting guidelines that mentioned anything about this not being allowed. Indeed, they allowed non-erect penises to be shown (and still do). If they don't want photos of female genitalia, they could have just let me know by a private message (and, hopefully, added that to their guidelines). Instead, they banned me for a month. I had been a prolific contributor, and also sent them money a few times, so they lost a good contributor. Then they go around begging and wondering why no one wants to send them money? The photo area here is much easier to deal with, and you don't have to click links to see racier photos.